Individual
MRS. LEILA PEREZ SUGRUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, APN, NP-C
Contact information
Practice address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 795-8266
Mailing address
176 PALISADE AVE, JERSEY CITY, NJ 07306-1121
(201) 795-8266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR13274900
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00494300
NJ
Other
Enumeration date
03/03/2014
Last updated
04/23/2015
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